Another second-line therapy is the use of alprostadil, either intracavernosal or intraurethral. Two products are available for direct injection, Caverject (Pfizer) or Edex (Actient). A small needle is used to inject the medication into the lateral aspect of the penis through a small-gauge needle.
Watch out for any form of exercise that puts excessive pressure on the perineum, which is the area between the scrotum and anus. Both the blood vessels and the nerves that supply the penis can be adversely affected from excessive pressure in this area. Goldstein says bicycle riding, in particular, can cause ED. .
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Sildenafil use has also been associated with various adverse effects especially owing to its vasodilator properties. Caution should be exercised in patients with one or more risk factors for cardiovascular or cerebrovascular disease, which include myocardial infarction, cardiac arrest, angina, ventricular tachycardia, hypertension, and other cardiac symptoms. Concomitant use with organic nitrates (e.g., glyceryl trinitrate, isosorbide dinitrate) has also resulted in cardiac deaths, possibly due to sildenafil potentiating the nitrates hypotensive effects (4, 5, 13).
If you’re struggling with erectile dysfunction or if one treatment option just isn’t working well for you, talk to our providers at Low T Center. Our goal is to provide quality health care for men. We offer diagnosis and treatment for many common health conditions, including erectile dysfunction. Getting treatment is simple, affordable, and convenient at our locations across the nation. Start living your best life and make an appointment at a clinic near you to address your health.
Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, Extra Corporeal Shock Wave Lithotripsy (ESWL), General Urology, High-Intensity Focused Ultrasound (HIFU), Prostate Cancer, Stone Disease, Vasectomy
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warningsWhat is the most important information I should know about Avanafil (Stendra)?
J. Stephen Jones, MD, chairman, department of regional urology, Cleveland Clinic. Consultant: Pfizer.
The most common side effects of Sildenafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.
Some insurance policies cover ED treatment if it’s medically necessary. Check with your insurance provider.
Certain drug interactions can occur when taking Viagra along with other medications. These interactions can act to either lessen or increase the effects of Viagra, and can cause unexpected side effects.
“The social stigma is stronger,” says Dr. Walker. “Much of their identity is connected to their sexuality, and ED can have a profound effect on their relationships. They must admit to their partner that they have a problem and then they have to seek help. That’s intimidating.” While most partners are understanding, some react with feelings of inadequacy or even distrust. “I’ve had patients with ED say their girlfriend or wife thinks they’re cheating on them.”
Erectile dysfunction can be diagnosed by physical examination alongside previous medical conditions.
DHEA (Dehydroepiandrosterone). Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy. Similarly, studies have shown that taking over-the-counter supplements containing DHEA, a hormone that the body converts to testosterone and estrogen, can help alleviate some cases of ED. But DHEA can cause side effects, including suppression of pituitary function, acne, hair loss and its long-term safety is unknown, says McCullough. For this reason, many experts discourage use of the supplements.
Self-administered injections of prostaglandin E1 (Caverject® or Invicorp®) provide a simple means of obtaining a natural erection. You will be taught how to administer the injections (pictured) and told what to do in the event of problems such as an erection which will not go down.
The most common side-effects associated with the use of sildenafil as reported by the study participants were dizziness and headache. From the extensive clinical trials, the most commonly reported adverse events in patients treated with sildenafil were headache and flushing (2). These symptoms are evident since sildenafil alone can cause mean peak reductions in systolic/diastolic blood pressure of 10/7 mm Hg that are not dose-related (4, 5). This reduction in blood pressure could lead to hypotension which may be the cause for the symptoms of headache, dizziness, and flushing.